Provider Demographics
NPI:1992552343
Name:YAO, TONY TUNG (DO, MPH)
Entity type:Individual
Prefix:
First Name:TONY
Middle Name:TUNG
Last Name:YAO
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:YAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO, MPH
Mailing Address - Street 1:220 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-4464
Mailing Address - Country:US
Mailing Address - Phone:740-277-6043
Mailing Address - Fax:740-689-6759
Practice Address - Street 1:220 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-4464
Practice Address - Country:US
Practice Address - Phone:740-277-6043
Practice Address - Fax:740-689-6759
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58.034415207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine